3878 Canter Glen LaneCIT\C'OF EAGAN
3810 Pilot Knob Ri
P.O. Box 21199
Eagan, MN 55121
Date: 6-2- 1
Date: .? `S
7 2>
Homes
Site Address: -so in Canter Gten
Plumber: ?r.,t1e Plinmhing
MWCC: 550.00pd
City Chg: 11J0.00pd
Acct. Dep: 15.OOpd
Permit Fee: 10.OOpd
Units:
with the City of Eagan
vUa1n Ia,, ua.
0 pd
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
requirements of Section 306 of the Uniform Building
:nce this structure was in compliance with the various
!ing construction or use. For the following.•
0
I -7 C
BLDG. PER MIT NO. .
L -C+ 5 a1ce-I I r / &
38-1 eA-,reA- C. Imo-,- A-N .
-
01-3210 Bldg. Permit z.
(Lo 60
01-3422 Plan Check 3 t
01-3445 Surch./Adm.
01-3446 SAC/Adm. 5 2
01-2155 Surcharge
75-3860 Road Unit -
20-2275 SAC `4 o
20-3865 Water Conn. 5 5 oa
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL 7c 3 of
CITY OF EAGAN Permit No Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121 It
Conn, Chg:
Acct. Dep:_
Permit Fee:
Surcharge:
Tr. Plant_
Meter: -
Zoning:
No. of L
I agree to comply with the City of Eagan
Ordinances.
By
CE PERMIT
CITY OF EAGAN
3830.Iot Knob Road
P.O?.Box•2i 199
Etfgan, MN 55121
Owner:
Site ABA
Permit No: Date:
B/P No: 336" Date: `21`i1
Homes
Plumber.'- Valley Pitt n
MWCC: 550.OOpd Zoning
City Chg: 100. 00puNo. of Units:
Acct. Dep: 1 S . C? or,
t; . , pd I agree to comply with the City of Eagan
Permit Fee:
Ordinances.
Surcharge:
SEWER SERVICE PERMIT
OF EAGAN
3830 Pilot Knob
BUILDING PERMIT
To be used for iWG/t Al
PHONE:
Est.Value ¶116,000
Receipt
, MN 55121 411, 7
MAY 1f2 .19--L8-
Site Address 3878 CANTER GLEN Lb"11" OFFICE USE ONLY
BRIDI.'L' itllxf<. 18T
Lot 3 Block 16 Sec/Sub On Site Sewage Occupancy
.
??1}t IT rr' MWCC System Zoning P) R_
Parcel No. i
l V-n
On S
te Wel (Actual) Const
t<:1'sYLANfl xlfl ! City Water ) (Allowable) V-n
rc Name
z ddress 4 UR T + PRV Required # of Stories
o city PA W V '_"' Phone t"Z'? 3 6
ty Booster Pump Length &G r O,.
Depth 3C3f??
p
Name S.F. Total
o a Address Footprint S.F.
City Phone APPROVALS FEES
?- s
W t'--: Engr./Assess. Permit 626.00
W W
Z Name
Planner
Surcharge
5A.00
Addr s
T
kb7
Council
Plan Review
'3.OO
m 5
I-1
city
- Phone
100
00
a • Bldg. Off. SAC, City .
Variance
MWCC
SAC 00
550.00
I hereby acknoveledge that I have read this application and state that the , l50
0
information is correct and agree to comply with All applicable State of
an Ordinances
Mi
t
Statute
d Cit
f Ea Water Conn. +
g
..
nneso
a
s an
y o Water Meter 1+00
Signature of Permittee Road Unit 325.00
A Building Permit is issued to: Clt:x: ,Ar'1) WE Treatment P1 204. 00
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
.
f TOTAL 2.793.00
icial- {
- .>
Building Of
CITY OF EAGAN
3830 JPilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERM'I'T Receipt#
.t
To be used for Est. Value Date
Site Address £.-' OFFICE
_a ? On Slte
Lot Block Sec/Sub. Sewage
MWCC System }
Parcel No.
On Site Well
x Name City Water
z Address I is PRV Required
F714 r:, Booster Pump
City Phone
so Name
.
o a Address
I City
WW Name
W
g Address
m City
I hereby acknowledge that
information is correct and
Minnesota Statutes and C
Signature of Permittee
A Building Permit is issuec
on the express condition tf
applicable State of Minne:
Building Official ---
L
Phone
a read this application and state that the
to comply with all applicable State of
Eagan Ordinances.
vork shall be done in accordance with all
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
Occupancy
Zoning
(Actual) Const f-`)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Permit No. Permit Holder Date Telephone #
Plumbing
H.A.C. C r_ I "";ate 0 11- 9l01
Electric
Softener
Inspection Date Insp. Comments
Footings l
Footings II
Foundation
Framing 2 e? S
Roofing
Rough Plbg. c'
Rough Htg.
Isul• y"'711 4/jj $ t C- 71-5-2V
Fireplace
:: 712A -,4V
.
Bldg. Final
Ger
t. Occ.
72
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
4i
e•
P LUMWNc
CITY OF
3830 PILOT KNOB ROI
PHONE: i
Lot Block Sec/Sub
, Name 1/-, tl,y I U
Address
c City '-a'- - Phone
,, l ?...
Name
Address
City Phone-
MN 55122 DATE:
BLDG. TYPE WORK D CRIPTION
Res. New
M ult. Add-on
Comm. Repair
Other
11
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
I SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
nr-Q. rLOU. VI111L7 - VvmrLC IG 1n? rVLLVBONN.
NO. FIXTURES TOTAL
-Water Closet - $3.00 $?C ^'
I Bath Tubs - $3-00
_'I' Lavatory - $3.00
t Shower - $3.00
t
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
r Laundry Tray - $3.00 -r-' -
Floor Drains - $1 50
-
Water Heater - $1.50
Whirlpool - $3.00
1 Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1-50
FEE:
STATE S/C:
PERMIT #
MECHANICAL PERMIT (c7 ?'
RECEIPT #
CITY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE. PHONE: 454-8100
Site Address '?"R alt m
BLDG. TYPE WORK DESCRIPTION
Lot Block 'Sec/ S
X
? XI
Res. New
x
,
l
d ru
Name Mult Add-on
45
Address l9LeI
NOP+,ti?.icq ?.
1
q Comm. Repair
Other
i
c City Phone 8
4
FEES
Name
?
r +
k RES. HVAC 0-100 M BTU -$24-00
c Addr ss t11 AJ
-
LL
ADDITIONAL 50 M BTU -
6.00
p
City 8u v.(, w
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) -
50 EA
1
.
.
TYPE OF WORK .` COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU 1! 00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU $ • MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS -
MINIMUM COMMERCIAL FEE - 12-00
20.00
Air Cond. M BTU $ STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # I $ 1 ' BEYOND $1,000)
Other $
r
FEE: ' J yy,/ ? /
S/C: SIGNATURE OF PERMITTEE {
. 'z Ge5
TOTAL:
FOR: CITY OF EAGAN
V:i . ? 2....: i..h....H...,% ?_.-e...lr? .-.. r.a. S i.-. s
CITY'OF EAGAN Permit No: f'^= ' Date:
3830 Pilot Knob Road Meter No: /' Size: I OCl
P.O. Box 21199 Reader No: J1 F -7- Date: i' -- sr. kf7
Eagan, MN 55121
Owner. ?'- :land Homes
Site Address: '•1%73 Canter Glen Lpr-U_e L3 1316 Brii:? ,,
Plumber. V U.le p Plumb:in
Conn. Chg: 5 Std - 00 , lad Zoning:
Acct Dep: ! .S . 0 41 No. of Units:
Permit Fee: 10, O Qttd
Surcharge: - ?r t??f I agree to comply with the City of Eagan
Tr. Plant 04. O Opc. Ordinances.
Meter QP4
Misc.: S.
WATER SERVICE PER
CITY OF EAGAN f No 14970
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #______ C (a D To be used for SF DWG/GAR Est. Value $116,000 Date MAY 10, -'19-i8--
Site Address
Lot 3 Block
Parcel No.
3878 CANTER GLEN LANE
16 Sec/Sub.BRIDLE RIDGE 1ST
ADDITION
Name KEYLAND HOMES
W
' Address 14450 BURNSVILLE PKWY.
City BURNSVILLE Phone 894-2636
gjName SAME
ou Address
City Phone
t1ALL14UJ.ST
w W Name
Address
w City BLOOMINGTON Phone 831-1875
I hereby acknowledge that I have read this application and state that the
information is correct and as to comply wi II applicable State of
Minnesota Statutes and y fEa r s.
Signature of Permittee
A Building Permit is issued to: KEYLAND HOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official t:i? 4
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCC System X Zoning PD- R-1
On Site Well (Actual) Const V-n
City Water (Allowable) V-n
PRV Required * of Stories
Booster Pump Length 6n' nn
Depth 16' All
S.F Total
Footprint S.F.
APPROVALS FEES
Engr./Assess Permit 626.Q2
Planner Surcharge 5&_1X1
Council Plan Review . 1,1..0O_
Bldg. Off SAC, City 100.00
Variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter -
-&7,-Oa-Road Unit 9 5_on
Treatment P1 204.00
Parks
TOTAL 2,793.00
"
1
-Z J
I 0 / s
Re uest Da be Fire No. Rough-in Inspe on
Required
Ready Now ? Will Notify Inspector
5 _ Yes N. When Ready?
Ix-; licensed contractor ? owner hereby request Inspection of above electrical work at:
Job Address (Sheet Box or Route No) City
3878 Canter Glen Ln. Eagan
Section No Township Name or No Range No County
Dakota
Occupant (PRINT) Phone No.
Bruce Scott
Power Supplier Address 55024
DEA 4300 220th St. W. Farmington, MN
Electrical Contractor (Company Name) Contractor's License No
Corrigan Electric 0 39549 8
Mailing Address IConuactor or Owner Making Installation)
P.O. Box 475 Rosemount, MN 55068
Auth n tl ignature ICOnuaq caner mg Installatronl,, Phone Number
423-1131
MINNESOTA STATE BOAR[ OF'ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Ro}(m 5.173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-600 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION aQ"- Ee-00001-0e
4??
tr. 2 q0, See instructors for completing this form on back of yellow copy. 4 , (0 -
2 4 'C 5elow1Nork Covered by This Request °1., C C OQft/ I
e Add Rep. Type of Building AppliancesWired EquipmentWired
)it Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (specify) ntractor's Remarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cimuits/Feeders
1 Fee
Swimming Pool 0 to 200 Amps ) 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only - TOTAL
S o
Irrigation Booms ?? • oC /-5-
Special
Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee 5o COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough"m
41 Date
certify that the above inspection has
been made. Fnal 72 ? D .?5
OFFICE USE ONLY
This request void 18 months from
This request void
18 months from J- Ol o
®-. 818501.3 s/G:.. , ? rc?,lo_/&t
Request Date
?
? Fire o. Rough-in Inspect
Requ red?
?Ready Now I .WfllI NOUfy Inspec-
J _ 2
Q es ?NO for When Ready
L7 cicensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
397 a C'La L) 2P
action No. Township Name or No. Range No. County
or4
Occupant IPRINT) Phone No.
E L*iD y s
Power Suppler Address
oT E2EGT, 4X5,90-, i N6 e,4) M J
Electrical Contractor (Company Name) Cnntmctor's License No.
fj r .?sJ?° r O V15-70 - s
Mailing Address (Contrac r or Owner Making In tallation)
30 u). / S sT 1 M.J csz2
Authorize Signature ( ntracto Owner kmg Instal lationl Phone Number
/-73?0
MINNESOTA STATE ARD OF EGCTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway 81d . - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EBB--00001?-06
See instructions for completing this form on back of yellow copy. p ?,y
D- -818 5 0 "X" Below Work Covered by This Request
INe.{Addl Rep.I Type of Building I Appliances Wired I Equipment Wired
trig
r.ommercial Bldg. hurnace WHO unloaoer
Industrial Bide. Air Conditioner Bulk Milk Tank
k Fee Service Entrance Size n Fee Feaders/Subleeders q Fee Circuits
Z,D
v
to 200 Am s
i
Oto 30 Amps
/'0
30,190
Oto 30 Ain s
Above 200 Am s
1
31 to 100 Amps
31 to 100 Amps
Swinymng Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Bonn& O Partial."0 her Fee
Signs Special Inspection s
emerks 2 E T A_a Z
certify that the abov
inspection has been
made.
This request
RESIDENTIAL
BUILDING PERMIT APPLICATION
;J ci CITY EAGAN
` GA
3830 PILOT KNOB R RD, , EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan If lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
RemodellReoair Requirements
2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
DATE /6)--
SITE ADDRESS 3P7P ?/?C46 ll 6/e&
TYPE OF WORK Re I&DT 31YIPAjG
APPLICANT
VALUATION 004 "0'O0.of
MULTI-FAMILY BLDG _Y -IN
FIREPLACE(S) - 0 - 1 - 2
S
I __j
STREET ADDRESS II)-'g J' 06676 /QcC ' CITY&1444T"1 /"P STATES=ZIP 5533 )
TELEPHONE # 9c?- Fi-67 -9003 CELL PHONE # X 70" lye FAX # (fox' faa?- 90 1 /
PROPERTYOWNER C 0VCP SCot* TELEPHONE# icy f - gSO?. - LIS3Z
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phone # ------- ______
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone #
Mechanical system includes: _ Air Conditioning
Heat Recovery System Fill Sewer/Water Contractor: Phone # MA (2 9 200z
----------------------------------------------------------------------------------------- ------
I hereby acknowledge that I have read this application, state that the information i?MmplY
with all applicable State of Minnesota Statutes and City of Eagan Ordi antes
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN y
SINGLE FAMILY DWELLINGS 9 ?'t9
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, .1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS (P OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET. OF ENERGY CALCULATIONS
To Be Used F94 Valuation:
A s
Site Address
Lot I.L Block Parcel/Sub rr1?v. p / ST
Owners
Address
City/Zip Code
Phone P9 Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code / G
Phone # ( 3/ 7 p 7 S
//b 000-
On site sewage-
MWCC system
On site well
City water
PRV required _
Booster Pump
-
Date:
Occupancy k- 3 M'
Zoning PD
T
Actual Const N
V
Allowable V-Al
( of stories
Length 60_ o"
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 62G.o0
Planner Surcharge 5,e, nn
Council
Bld
Off Plan Review
SAC
Cit I ,00
O O 0
g.
. ,
y
Variance SAC, MWCC 0
Water Conn
Water Meter
Road Unit Z5 , 00
Treatment P1 0 14 ,o
Parks
Copies
TOTAL 7 9 3
GA?2At,? .
Zox g4o : ?vd
L136 x/' (lo`I
13Sn1-r , T -
Z? X ZY ? 7 Z6 k i 3 ? g c?6 y
Zo )(/L2 zyo
? p 52-• X 4? , $ISy g
ZND I p
??X 12
7Z/
2LI O
Ll
??5822-
SURVEYOR'S CERTIFICATE
;>/Z\o
tag P. w
3
011
Z66 _?p O
d
m 4
LOT
--y 3
0-
0
c
D
6Jp . S
to
o
N
.00
Z4.0
OL., 43.96 a 5v 03
It's % Aq" 39.74 132.00 N 82
DsZ,o?2 (?s'9?
d? ED
APT,
.CANTER
LANE 'D '•? = - ??
EENGINir^tERIItiC DEP . .
L J
r--
" J
.. J
..J
4.,
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 888.'3 FEET
X000.0 ' DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8806 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 808.'7 FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3. Block 16, BRIDLE RIDGE I ST ADDITION; according to the recorded
plot thereof, Dakota County. Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS; EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20TH DAY OF OCTOBER, 1987.
APPROVED FOR SIENNA SIGNED: HILL, INC.
CORPORATION '
./C!2
4Y: By..
HAROLD C. PETERSON, LAND SURVEYOR
DATED, MINNESOTA LICENSE NUMBER 12294
ow Mi ,inc.
-? Z °D' ! j4an!es
PLANNERS / ENGINEERS / SURVEYORS
,T , .Z L7 y -< i
O m
- , 9401 JAMES AVE. S. • BLOOMINGTON, MN. 66431 • 612-884-3029
013 ..
AND HOMES
F:
EXTERIOR ENVELOPE AVERAGE "II COMPNTATION 33(n? • ' 5
. ?. fSEDRF'l, t' F?
OWNER; ICE`( lip V40MES PATr: 7
•- - -_ 4-Z'L--SL
SITE ADDRESS:Lo-T 3 L)Io kJt, teliacE- PIIONE:
CONTRACTOR: _ `>6C' /si Aupr1
Determine working square footage of each 4
1.
Total
exposed wall area..... Z38o sq, it. x .11 :.r...„ r
2. Total roof/ceiling area... 9(c8 sq. ft. x .026 ZS,Z '48;
Total exposed wall area above floor= Z38o Fr.zF;
?
a. Total wall window area ....................................... .
!`1?•t
''
.... _
b. Total door area ...... 35
c. Total sliding glass door area. h .................................... .40
d. Total fireplace wall area
..
?
.
...................... ..........
...
e. Total wall framing area (average 101
)
M
............................
f. Total rim joist area
9. net wall area above floor, 1 1,93
_J
h. wall area above floor.. ...... ......................
I. wall area above floor. .
.........
..
..
1
...................
J. frame
wall area at foundationl . .
............... ..............
Total exposed foundation area= II Z0
k. Total
foundation window area...... ............. O.S
1. Total net foundation area above grade ............. 1106"1 .5T"
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
a. I??•?o X I..U.,
c. X ..u., I?-
d. - X fii ..a.. _
e. Z'SS X ..u.. .nr1 = ZI A
f. x ,.u.. .d4 = S,Co
h. X „U„
i. X"U"
j. X "U" „
k. Jo.S X ..u.. .SS = 3,1
1. ! !0 15 X .,N.. ,o4 0444
3. .................................Total = Z24 3
If item 03 is•thetsai
as, or less than Itel
01, you have metthe
intent of SBC 600@ .(i
(4
i!
Envelope Average "U" Computation
mm / Total exposed roof/ceiling area
m. Total skylight area ............................
n. Total roof/ceiling-framing area (average •10%)...
o. Total net insulated roof/ceiling area........... _ 51(
Determine "U" value for each roof/coiling segment
M. X "D.. _ e
Page 2 4
of
n. 11 X "D" Z 3,
,OL a \-1.17.
0. 1 I ` X U.
4 ........................... Total 19,17-
If total of #4 is the same as,I or less than 12, you have met the intent of
SUC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope' system method, the values established by the sum of
items 93 and 14 shall not be greater than the sum of items )tl and #2.
1. l(oLE, ' + 2. ZGj. Z a 1-8-7
3. _ ___ + 4. \9 ,1 z z14
,,
.'rx
,.I
UmEAcL
SLOG K , ; 140
i:.IJEE.'
W.O.,
FULL 1140
FULL Z ; 140
?I R-Et?LAGE
1Z I H: :14c;l
1E Loc c , )4o
?AI EE
W.O
FULL I ',140
FU LL t 's I4o
F.P
RIM :%40
PLAUc 4
FT. EXPOSED WALL
r
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up 2 . v'?
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814. 07
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
ity of ecigcan
1) PROPERTY ADDRESS: 3g 7 T ?Av7 la
LEGAL DESCRIPTION,
IA
(Lot/Block/Subdivision or Tax Parcel ID #)
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Month/Year)
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/RETAIL/OFFICE 12-R-1 SINGLE FAMILY
INDUSTRIAL R-2 DUPLEX (Two Units)
INSTITUTIONAL/GOVERNMENT CI R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2)
ADDRESS:
:NOTE: PAWS2lf OF FEE AT TIME OF
APPLICATION DOES NOT COP]-
.*f SCrIt'IE APPROVAL OF PERMIT.
f
INSPECTION OF SEWER AND/OR WATER
INSTALLATIONS WILL NOT BE SCEDULEO
UWITL PERMIT HAS BEEN APPROVED. f`.
•xwwwwxww:rwwrxwrfffr:rrfffffrwwrwwffr
CITY, STATE, ZIP:
PHONE:
3) :lU NAME:
ADDRESS:
CITY, STATE, ZIP:
GK /,4,
PHONE: y2- a__ MASTER LICENSE # 3337 y
St Ia nitial.
4) a .. a ?•®
NAME: (/n I/',, _
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
CONNECTION TO C47 SEWER L2fCONNECTION TO CITY WATER O OTHER
6)
P1 rum sLicense:
Active
Expired
Not recorder
- 3/-
* * * * * * * * * IF A' ]F * * lF *'I[ * A' I['k A"X'IC'It 9['I['k'k'k'R'k'k'k'If'k A' ]F'I(9f'k'I['I( *'k'I['I[ :F ]F'k'/( 7f A"R 1F A' lF'X i[ k'A'I(* A' sF'I['k 9r *'k lF it 9f'k'I['k 1F ] F'k'k'k'I['I['.A ?' ]F * * A' ]F'I[ * * "F ir'k'X'X A' Y
THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP.
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS.
FOR CITY USE ONLY
PERMIT # ISSUED
N.
Pd w/Bldg. Permit FEES:
SEWER PERMIT (INCLUDE SURCHARGE)
$ $
WATER PERMIT (INCLUDE SURCHARGE)
$ 4 7 O (J $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ r5'_'T ACCOUNT DEPOSIT - SEWER
$ $
7 ACCOUNT DEPOSIT - WATER
$ ?.CC1 • el-0 $ WAC
?/
$ a $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ c-/, O $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 7 $__ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
NO
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS A CONDITION
. .
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
Doors
and
19_.
87
Construction No. Wall Int. Wall Ceiling Rs,
o Width /a. Height 8
and Area
No. Width
of pane Height
or an. No. of
lights Lineal ft.
of crack Arc.
sq. ft.
0 3(6 V o a s a
L_ a -8 l
Coef. Btu
Infiltration 24
Glass O 0190
_F.xp.wall ?o+I;?tao vg Ib
Net exp. wall p
Int. wall
-Gelling
Iota] tftu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
, d'l.1 K,~ * l%A FS'lRoom Length ! t Width I A
Windows and Doors-Crackaoe anti Area 7
No. Width
of pane Height
of pane No. of
lights Lineal It.
of crack Area
a. H.
yy a I
a 3 l
Coef. Btu
Infiltration 34,E f,I
Glass 2410.3 56 I
Exp. wall 4 !yy
Net exp. wall
LM-VA korn 1 I (v
?Ofi
6eiliftg--
.F1nnr_-
INSULATION` atoomEtatan
F1.1 L ilr'4t. Room I
win ows ana uoors-a,raexa ge ano area
No, Width
of pane Height
of pan• No, of
&takte Lineal fl.
of crack Area
sq. ft.
/ ?tl (g, c 6S 37,
Cocf. Btu
Infiltration 4Oe 5 y //! 4
Glass 71 o 1840
Exp. wall / IS k a3.Z
Net exp. wall 17Y,> )36
-66.110U % f4+IS s,9 7s
floor
Total Btu. Z
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/50' FI.I Fa?gR RoommrlLength 114 Width,?-t,.Height r
wfn/ows silo uoors--a.racna ge ana area
No. Width
at pans,
of Made
Height No. at
lights Lineal ft.
of crack Ara
p. fL
Asem -O (6-111; 1 19, t>
1 14% go f3,5
Coe Btu
Infiltration 3s, .21
Glass R b
Exp.wafl r;•1„} r .__
Net exp. wall '%.5 l
liatewall /Zr f. ?6.6 (n / IS C
Geiliw
total Stu. p
Required sq. It. E.D.R. or sq. ins. W.A. Leader area
and Area
No. Width
of pane Height
et pass No. of
IIgh1• ineal it.
of crack Ara
n.
an.
1 ;4 4y a
Coef. Btu
Infiltration
flan '11f
Exp. wall I o+t a at /.
Net exp. wall 11641
-Mt-w4 17im oat 132.
. laoX
Total Btu. reI t
Required sq. It. E.D.R. or sq. ins. WA Leader area
11 . yvS'Fl. l3 s ,r Room 1 Length g'Z o_ Width / y Height [
Windows and Doors--Craelfane and Area
Ha Width
of para. Height
at as I No. ou f
Mile Lineal tL
of crack Ara
p. tt.
/ a K a
Coef. Bit
Infiltration 2L a
Can
S
v
!
Exp.wan ao+taaaoaft t{,
Net exp. wall 3qe a
.1nt>Yall? o alb rao 5s, l0 1
Ceiling o x i X40 S boo
-Fleef_
total Stu. _ Total Btu. S' it
Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Liesider area
o?a-? '9s4, - < c76
Weatherstrips AJ.t7.V.C.
Guide
Windows Doors Reference Out. Wall
Yeses I Yes-No 19_
a" '1• mil. +Nnlt Room Length -),t- Width
Windows and Doors-Crachaae and Area
Construction No. (I INSULATION
lat. Wall Ceiling Roof Floor Kind- I
No. Width
of pane Height
of Dane No. o!
lights Lineal -f r
of crack Area
sq. ft.
Coef. Btu
Infiltration
Glass
Fxp. wall _` R 4j 60)t
Net exp. wall 6011 4.1(m
UL.Walt R,M t. G 'I
Ceiling _(, k /01 91.7 a
.Elide
total sta. 70 0
Required sq. It. E.D.K. or eq. ins. W A. Leader arcs
Pr"11•1 $eb+ 4A.* Room Length ?0-& Width 1.1 Height V
Windows and Doors-Crackane ¦nd Ar.n
No. Width
of he Height
of pa No Area
q. ft.
I 74 4
Coef. Btu
Infiltration aN
Glass ! O
Exp. wall O" 4 s rf
Net exp. wall __ -7 69
1
324
Ceiling 0,(. X
{ a_a 3.S (Dig
total ntu.
Required sq. It. E.D.R. or sq. ins. WA Leader area
2!11.1 gadftasrn Room (Length *q Widths-
Windows and Doors-Craekaae and Area
No. Width
of Dane Height
of pano No. at
lighto Lineal fl.
of crack Ana
sq. ft.
a4 16, 4 ay
Ccef. Btu
Infiltration 3' .t a1
$a
Gass s't SO /.loo
Exp. wall / q+-j?,-LXj
Net exp, wall
Ceiling 0
%weer.
I olal afu. LIO tf $
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
winnows ana snore-%,racaa ge ann area
No. Width
of "no Height
of Dane No. of
lights Lineal et.
of crack Area
sq. ft.
4 3 Fo 0
Coef. Btu
Infiltration 0 A -/g0
Glass 3 I S- 01
Exp. wall 1 tt-!. 1 X1 .729.11
Net exp. wag 07111a /N9s
4mwail Rion / q- (a pig e,)" ji 7R
Ceiling / _6 / ao'f4 S1f
Loor-
Total Btu. 3`411
Required sq. ft. E.D.R. or sq. ins. WA Leader area
FI.Iueawl op at,itooin I Length a 0 Width / q Height ¶
winnows am uoors-a.racaa
a ge ana area
No. Width
of pass Height
of Dan, loo. et
lights Lineal ft.
of Crack Area
M. ft.
I caell to
Infiltration
Class
Exp. wall ao+taa)o t4 ,201
Net exp. wall aoti )44s.(.
-lit tall
Xeiung
Floor povtz 340 3 ;P,7 a
Total Btu.
Required sq. It. E.D.R. or sq. ins. W.A. Leader area
Ft 13waasnl- Room (Length Z y Width 1, Height
Windows and Doon-Crackage and Area
No. width
of Dane "Ist
at ne Na of
light. Lineal ft.
of crack Area
q. ft.
l .255
Coef. Btu
Infiltration -Irs 61
Glass Q. (a SD O
Exp. wall 29+ *28,1..14 6t
Net exp. wall 7S S3
Lt. wall
Floor v 7d .114
1 otal tun. 6103
Required q. ft. E.D.R. or sq. ins. W.A. Leader area
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys shoving sq. ft. of lot, sq ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
I Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot plaited after 711193
Rim Joist Detail options selection sheet (buildings Mth 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Requirements
2 copies of plan showing footings, beams, joists
I set of Energy Calculations for heated additions
t site survey for additions & decks
Addition - indicate if on-site septic system
cc
clod
LcHmss
Office Use Only
Carl of Survey Recd _Y
Soils Report -
' _Y _N
Tree Pres Plan Reed. Y.: '-N
Tree Pm Required . _Y _N
On-site Septic System _Y _N
Plans are considered public information unless you state they are trade secret and the reason.
Date 08 / 7 / 3 7 Construction Cost 609?kS CP/LriLlM?.v4/ry?
Site Address 3CPr 79 GQ N r , t-t La K Unit/Ste #- - -'
Description of Work kJ 0(a ! !21 ( c ST?ruaat. 4 ri
Multi-Family Bldg _ Y ?
N Fireplace(s) _'O _ 1 _ 2
Property Owner n (7 r C
®
c.(Gr '07,,?orot V SCrt - Telephone #(657) 9 2 </ g
Contractor b U 4 -C S(ef y fre- ZK C
Address 636 3'I 4c,c tiE ,`-
City Co/llsn6i'q
State Zip 5 55/x/ Telephone # (763) 78! ? c'V o) 0-6
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 r
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of E
?,erf?,,,((t,,,jjos -lar plan based on a master plan?
J ARI
y N If yes, date arroTrrfldrs, r _
Licensed Plumber AUG 21 fl07 Telephone #(
Mechanical Contractor Telephone, #(
aw .
Sewer/Water Contractor Telephone #( apply for a Residential Building Permit and acknowledge that the information is complete and accurate
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name
licant's Si Lure
1' •
DO NOT WRITE BELOW THIS LINE
Sub Types
01 Foundation ?
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
y
f4 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 ExLAlt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebolpergola ) ? 36 Multi Misc.
? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration _ ? 37 - Demolish Building* ? 43 Reroof ? 46 . Wndows/Doors
x 34 Replacement Demolition (Entire Bldg) - Give PCA handout to applicant
6 ( "
,S-ft
4 v QM'4f? t 0
-2
Description: Water Damage _ Yes
Valuation boa' Occupancy 'k +Z MCES System
Plan Review 100% or _ 25% Cede ;Lava
Census Code 43y Zoning A- t City Water
SAC Units Stories Booster Pump
# of Units "-'-' Sq. Ft. PRV
# of Bldgs ? -' Length . - Fire Sprinklered
Type of Const u Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Sheetrock
- Footings (deck) _ Final/C.O.
Footings (addition) Final/No C.O.
Foundation _ HVAC
_ Drain Tile Other
Roof Y_ Ice & Water yf Final Pool Ftgs _ Air/Gas Tests Final
Framing Siding _ Stucco Lath Stone Lath -Brick
Fireplace _ R.I. Air Test Final Windows
Insulation - - _ Retaining Wall
Approved By: Building Inspector
Base Fee 91-
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge F91
Permit & Surcharge SERVICES, I N C
Disaster Restoration Specialists
Treatment Plant 636 - 39th Avenue, NE
Ken Johnson, CR, BI
License Search i Columbia Heights, MN 55421 Project Coordinator
Copies
763-788-9411 ext. 206 www.duallservices.com
Other Cell # 612-685-8171 MN Lie. #3178
Total
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÷
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109670
Date Issued:03/26/2013
Permit Category:ePermit
Site Address: 3878 Canter Glen Lane
Lot:3 Block: 16 Addition: Bridle Ridge 1st
PID:10-14996-16-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brent A Scott
3878 Canter Glen Lane
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
•
EAG A N .C��� �_
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinoinspectionsi citvofeaoan.com
JUL 15 2020
For OfficeUses
Permit #:/ /626DC'
Permit Fee: 97/. 71
Date Received:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: MJ Lamon Phone: 612-384-3669
3878 Canter Glen Lane
Address / City / Zip:
Applicant is: ✓ Owner Contractor
Type of Work
Description of work: New Deck
Construction Cost: $15'606 Multi -Family Building: (Yes / No / )
Contractor
Company: Contact: •
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
MJ Lamon
Applicant's Printed Name
x
Applicant's Signature
bO NOT WRITE BELOW THIS LINE
SUES TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%" )
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
r Lower Level
3e aMt plc- Lict-46 /G ��ob
_ Interior Improvement
Move Building
Fire Repair
Repair
Porch (3-Season)
Porch (4-Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
?( Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
p(�ucl
SIPPAJNI
/=.'t,
Page 2 of 3
7C? flit .6(c4/e-26o(
SURVEYOR'S CERTIFICATE
D
(3325-I)
KEYLAND HOMES
E E� GIIRING DEP
�------- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
SCALE: 1 INCH — 30 FEET
PROPOSED GARAGE FLOOR — 888.'3 FEET
PROPOSED LOWEST FLOOR — Be8FEET
PROPOSED TOP OF BLOCK — 8Vg.-7 FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3. Block 16, BRIDLE RIDGE d ST ADDITION,' according to the recorded
plat thereof, Dakota County, Minnesota,
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2oT DAY OF OCTOBER , 1987.
APPROVED FOR SIENNA
CORPORATION
SIGNED: . HILL, INC.
DATEDI
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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PLANNERS / ENGINEERS / SURVEYORS
$19401.JAMES AVE. S. • BLOOMINGTON, MN. 66431 • 612-884-3029
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172178
Date Issued:09/17/2021
Permit Category:ePermit
Site Address: 3878 Canter Glen Lane
Lot:3 Block: 16 Addition: Bridle Ridge 1st
PID:10-14996-16-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Molly Jane Lamon
3878 Canter Glen Ln
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature